Health Benefit Information

 

• Health and Welfare Benefit Plan Summary Plan Description

• Highmark Booklet Base Plan

• Highmark Booklet Buy Up

• Highmark Vision Certificate

• Group Medical Plan Summary Plan Description

• HIPAA Notice of Privacy Practices

• HRA Summary Plan Description

• MetLife Dental Name Change Certificate Rider

• MetLife Life, AD&D Name Change Certificate Rider

• MetLife STD Name Change Certificate Rider

• MetLife Vol. Life, AD&D Name Change Certificate Rider

• COBRA General Notice

• SBC Uniform Glossary (Spanish)

• SBC Uniform Glossary

• Health and Welfare Benefit Plan SPD Attachment A

• CHIPRA Notice exp. 1.31.23 (Spanish)

• Cafeteria SPD.sum

• Group Medical Plan SPD Attachment A

• Summary of Benefit & Coverage

• Marketplace Notice for Eligible Employees (Spanish)-exp. 6.30.23

• Marketplace Notice for Eligible Employees-exp. 6.30.23

• Marketplace Notice for Non-Eligible Employees (Spanish)-exp. 6.30.23

• Marketplace Notice for Non-Eligible Employees-exp. 6.30.23

• Special Enrollment Rights Notice

• WHCRA Annual Notice

• Highmark PPO 3000 SBC

• Highmark PPO 3500 SBC

• HRA SBC

• Medicare Creditable Coverage Disclosure Notice (Spanish)

• Medicare Creditable Coverage Disclosure Notice

• NMHPA Content of Required Notice

• No Surprise Billing Model Notice

• SBC Template (Spanish)

• CHIPRA Notice exp. 1.31.23

• Statement and Consent Regarding Electronic Disclosures

• Notice Regarding Electronic Disclosure

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Retirement Benefit Information

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• Oberto Snacks Inc. 401K Plan Number 094560-exp. 6.24.23

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Medicare Credible Coverage Notices

• Creditable Coverage Disclosure Notice 2024

• Creditable Coverage Disclosure Notice (Spanish) 2023